EPHEDRINE 12.5MG/GUAIFENESIN 200MG TAB (24825) VA PRODUCT (50.68)

Name	Value
NAME	EPHEDRINE 12.5MG/GUAIFENESIN 200MG TAB
VA GENERIC NAME	EPHEDRINE/GUAIFENESIN
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	EPHEDRINE STRENGTH: 12.5 UNITS: MG GUAIFENESIN STRENGTH: 200 UNITS: MG
NATIONAL FORMULARY NAME	EPHEDRINE/GUAIFENESIN TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	EPHEDRINE 12.5MG/GUAIFENESIN 200MG TAB
VA PRODUCT IDENTIFIER	E0624
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4033459
EFFECTIVE DATE/TIME	2014-07-01 00:00:00 STATUS: ACTIVE